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Home My WebLink About97-7153 BUILDING PE"RMIT CITY OF ZEPHYRHILLS (813) 788~6611 Permit 7153 j3 Date 10 -:.1..7-97 BUILDING ~~ PLUMBING Property Owner: t~ A /I f rp ~ Job Address:~. _ U~ ~ P 4'/ Parcel I. D. # Zoning: _~rgy COd:' Description of Work [!J?:,..;..fA -';. ~ p~ MECHANICAL Sewer Conn ~J ,5'-1'1- Cj ~ , Water Conn: ~~--/'t-? Y Water Meter: T.I.F.'s: U ~-f'/-rr / Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE g,H Permit Fee ~....... cJ-D Signature --1J . ~~ Company Address Telephone# ~fr City License Registration # ~ / State Certified License# Valuation or Contract Price /1 /J ...... ( J~ J2... l!d.~ BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Con st. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra Tnspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($4-5':"00) shall be made for each trip for each trade: J..S: trD Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. a. b. c. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. . APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT LOT OWNER'S NAKE t' Y\"e II' c. (J vo.:;,; n + e. C Co) t 'P U<< V / PHONE 7 6' f' - J. ! I..( r- 3'1 \? Od-. 8 i-y~ ~? {- hI' .s: -r S+ r'n 'C- I~.../ ~ LEGAL DESCRIPTION: LOT(S) J.:"( ( '--_- BLOCK OWNER · S ADDRESS JOB ADDRESS SUBDIVISION PARCEL 1.D.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction _Addition ----.Alteration -Repair _Install _Sign -'love _Deaolish PROPOSED USE: _Single Faaily _K/F _, of Units _K/H _Comaercial _Indust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COMMERCIAL : AtTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. AtTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ~ELECTRICAL -"ECBAlUCAL 100 AMP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ...........*.*.*....****.**.*.*.*******.** YES NO CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. t City License Registration , ...*.*.*..******************.************. Signature :.:::::~~~ . COMPANY 'I<. t:la- ~ r- ~ State Cert. or Regist. t /:0-.$'00006 1/ City License Registration' ) g 7 *****.****.*......*..****...*...*.******** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration t .****.***..****.*..**********...********** MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration . .***.****.*~*.**********.***************** OTHER COMPANY State Cert. or Regist. t Signature City License Registration , .*..***..*..***********..**..**.*.*..***** APPLICATION APPROVED BY PERMIT OFFICER. ~ CONDITIONS OF PERMIT"AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pellit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles.responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents lay apply for the intended wort, they are advised to contact the City of Zephyrhills Building Deparllent, (013) 700-6611. FurtheClOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the RContractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. If tbe contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to pellitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOIIOWDer's Protection Guide" prepared by the Florida Deparllent of Agriculture and Consuter Affairs. If the applicant is sOleone other than the lowner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner" prior to cOlleDcetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a pellit to do wort and instailation as indicated. I certify that no work or installation has cOllenced prior to issuance of a pellit and that all work will be perfolled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in ~e jurisdiction. I also certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: * Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treallent * Southwest FlOrida Water Hanagetent District - Wells, Cypress Bayheads, Netland Areas, Altering Natercourses * AllY Corps of Engineers - Seawalls, Docks, Navigable.Waterways * Departlent of Health , Rehabilitative Services, Environtental Health Unit - NeIls, Wastewater Treallent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abatBlent I also certify that, .if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volute" will be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~uance of a perJit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid unless the work authorized by such pellit is collenced within six IOnths of issuance, or if work authorized by the pellit is suspended or abandoned for a period of six 80ntbs after the tile the work is cOllenced. One 90 day extension of tile, laY be allowed for the pellit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHRNCRMEHT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMmS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LBHDER OR Alf AnORNBY BEFORE RECORDING YOUR NOTICE OF COMMKNCRMBHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMKlfCmNT". SIGNATURE: OWNER OR AGRHT SIGNATURE: COHTRAC'lOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an o~th. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC